{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T19:36:17Z","timestamp":1757619377057,"version":"3.44.0"},"reference-count":25,"publisher":"BMJ","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gut"],"published-print":{"date-parts":[[1982,7]]},"abstract":"<jats:p>A case of chylous ascites occurring after an emergency mesocaval shunt is reported. After an attempt at conservative management had failed, the patient was surgically explored. Although a lymphatic leak could not be identified, oversewing the retroperitoneum in the area of previous dissection and reinforcement with an omental pedicle was successful in preventing postoperative reaccumulation of chylous ascites. A review of the 26 reported cases of postoperative chylous ascites indicates a spontaneous resolution rate of 41% with non-operative management including low fat diet, paracenteses, and total parenteral nutrition. If conservative measures fail, surgical repair of the traumatised lymphatic bed has been successful.<\/jats:p>","DOI":"10.1136\/gut.23.7.633","type":"journal-article","created":{"date-parts":[[2007,9,18]],"date-time":"2007-09-18T17:41:31Z","timestamp":1190137291000},"page":"633-635","source":"Crossref","is-referenced-by-count":2,"title":["Chylous ascites after an H-graft interposition mesocaval shunt."],"prefix":"10.1136","volume":"23","author":[{"given":"J","family":"Reichen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J W","family":"Schaefer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1982,7,1]]},"reference":[{"key":"ref_1","first-page":"105","article-title":"Chylous ascites, a postoperative complication","volume":"9","author":"Boyd, D.P.; Wooldridge, B.F.","year":"1954","unstructured":"Boyd DP, Wooldridge BF. Chylous ascites, a postoperative complication. Lahey Clin Bull 1954; 9: 105-8.","journal-title":"Lahey Clin Bull"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"700","DOI":"10.1016\/0002-9610(78)90139-3","article-title":"Chylous ascites after a Warren shunt","volume":"135","author":"Maywood, B.T.; Goldstein, L.; Busuttil, R.W.","year":"1978","unstructured":"Maywood BT, Goldstein L, Busuttil RW. Chylous ascites after a Warren shunt. Am J Surg 1978; 135: 700-2.","journal-title":"Am J Surg"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1001\/archsurg.1979.01370270115026","article-title":"Total parenteral nutrition in post-Warren shunt chylous ascites","volume":"114","author":"Freund, H.; Brewster, D.; Fischer, J.E.","year":"1979","unstructured":"Freund H, Brewster D, Fischer JE. Total parenteral nutrition in post-Warren shunt chylous ascites. Arch Surg 1979; 114: 345.","journal-title":"Arch Surg"},{"key":"ref_4","first-page":"238","article-title":"Chylous ascites following resection of an abdominal aortic aneurysm","volume":"36","author":"Bradham, R.R.; Gregorie, H.B.; Wilson, R.","year":"1970","unstructured":"Bradham RR, Gregorie HB, Wilson R. Chylous ascites following resection of an abdominal aortic aneurysm. Am Surg 1970; 36: 238-40.","journal-title":"Am Surg"},{"key":"ref_5","first-page":"253","article-title":"Postoperative chylous ascites","volume":"68","author":"Klippel, A.P.; Hardy, D.A.","year":"1971","unstructured":"Klippel AP, Hardy DA. Postoperative chylous ascites. Missouri Med 1971; 68: 253.","journal-title":"Missouri Med"},{"key":"ref_6","first-page":"611","article-title":"Conservative management of chylous ascites after abdominal aortic aneurysm repair","volume":"73","author":"DeBartolo, T.F.; Etzkorn, JR","year":"1976","unstructured":"DeBartolo TF, Etzkorn JR. Conservative management of chylous ascites after abdominal aortic aneurysm repair. Missouri Med 1976; 73: 611.","journal-title":"Missouri Med"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1097\/00000658-197911000-00011","article-title":"Chylous ascites following abdominal aortic aneurysmectomy","volume":"190","author":"Meinke, A.H.; Estes, N.C.; Ernst, C.B.","year":"1979","unstructured":"Meinke AH, Estes NC, Ernst CB. Chylous ascites following abdominal aortic aneurysmectomy. Ann Surg 1979; 190: 631-3.","journal-title":"Ann Surg"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1016\/S0022-5347(17)67183-0","article-title":"Chylous ascites following retroperitoneal lymphadenectomy","volume":"114","author":"Bigley, H.A.; Chenault, O.W.","year":"1975","unstructured":"Bigley HA, Chenault OW. Chylous ascites following retroperitoneal lymphadenectomy. J Urol 1975; 114: 948-50.","journal-title":"J Urol"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1016\/S0022-5347(17)58585-7","article-title":"Chylous ascites: an unusual complication following retroperitoneal lymphadenectomy for testes tumor","volume":"117","author":"Spence, C.R.; Solomon, H.D.; Agee, R.E.","year":"1977","unstructured":"Spence CR, Solomon HD, Agee RE et al. Chylous ascites: an unusual complication following retroperitoneal lymphadenectomy for testes tumor. J Urol 1977; 117: 676-7.","journal-title":"J Urol"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1002\/1097-0142(197807)42:1<349::AID-CNCR2820420152>3.0.CO;2-I","article-title":"Chylous ascites following retroperitoneal lymphadenectomy","volume":"42","author":"Herz, J.; Shapiro, SR, Konrad; P.","year":"1978","unstructured":"Herz J, Shapiro SR, Konrad P et al. Chylous ascites following retroperitoneal lymphadenectomy. Cancer 1978; 42: 349-52.","journal-title":"Cancer"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/S0022-5347(17)57183-9","article-title":"Chylous ascites complicating retroperitoneal lymphadenectomy for testis tumors: management with peritoneovenous shunting","volume":"120","author":"Miedema, E.B.; Bissada, N.K.; Finkbeiner, A.E.","year":"1978","unstructured":"Miedema EB, Bissada NK, Finkbeiner AE et al. Chylous ascites complicating retroperitoneal lymphadenectomy for testis tumors: management with peritoneovenous shunting. J Urol 1978; 120: 377-82.","journal-title":"J Urol"},{"key":"ref_12","first-page":"436","article-title":"Iatrogenic chylous ascites","volume":"38","author":"Ikard, R.W.","year":"1972","unstructured":"Ikard RW. Iatrogenic chylous ascites. Am Surg 1972; 38: 436-8.","journal-title":"Am Surg"},{"issue":"39","key":"ref_13","first-page":"161","article-title":"Chylous ascites: an analysis of its etiology","volume":"1960","author":"Kelley, M.L.; Butt, JR","unstructured":"Kelley ML, Butt JR. Chylous ascites: an analysis of its etiology. Gastroenterology 1960; 39: 161-70.","journal-title":"Gastroenterology"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/S0022-5347(17)61957-8","article-title":"Chylous ascites","volume":"103","author":"Roy, J.B.; Abdulian, M.; Walton, K.N.","year":"1970","unstructured":"Roy JB, Abdulian M, Walton KN. Chylous ascites. J Urol 1970; 103: 343-4.","journal-title":"J Urol"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1001\/archsurg.1967.01330160110015","article-title":"Chylous ascites following pancreatoduodenectomy","volume":"36","author":"Walker, W.M.","year":"1967","unstructured":"Walker WM. Chylous ascites following pancreatoduodenectomy. Arch Surg 1967; 36: 640-2.","journal-title":"Arch Surg"},{"key":"ref_16","first-page":"259","article-title":"Unusual complications of vagotomy and pyloroplasty - chylous ascites and achalasia","volume":"32","author":"Cox, D.W.; Schmitz, R.L.; Gillesby, W.J.","year":"1966","unstructured":"Cox DW, Schmitz RL, Gillesby WJ. Unusual complications of vagotomy and pyloroplasty - chylous ascites and achalasia. Am Surg 1966; 32: 259-60.","journal-title":"Am Surg"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1002\/bjs.1800580417","article-title":"Chylous ascityes following vagotomy","volume":"58","author":"Clain, A.","year":"1971","unstructured":"Clain A. Chylous ascityes following vagotomy. Br J Surg 1971; 58: 312-4.","journal-title":"Br J Surg"},{"key":"ref_18","first-page":"67","article-title":"Postvagotomy abdominal chylous fistula","volume":"175","author":"Musgrove, J.E.","year":"1972","unstructured":"Musgrove JE. Postvagotomy abdominal chylous fistula. Ann Surg 1972; 175: 67-9."},{"key":"ref_19","first-page":"232","article-title":"Chylous ascites: a complication of vagotomy","volume":"23","author":"Hocking, M.A.; Barth, C.E.","year":"1978","unstructured":"Hocking MA, Barth CE. Chylous ascites: a complication of vagotomy. J R Coll Surg Edinb 1978; 23: 232-3.","journal-title":"J R Coll Surg Edinb"},{"key":"ref_20","first-page":"333","article-title":"Chylous ascites: an unusual complication of peritoneal dialysis","volume":"139","author":"DePaula, A.; Jimeno, A.; Largo, E.","year":"1975","unstructured":"DePaula A, Jimeno A, Largo E et al. Chylous ascites: an unusual complication of peritoneal dialysis. Rev Clin Esp 1975; 139: 333-8.","journal-title":"Rev Clin Esp"},{"key":"ref_21","first-page":"40","article-title":"Chylothorax and chylous ascites. A study of 302 selected cases","volume":"28","author":"Nix, J.T.; Albert, M.; Dugas, J.E.","year":"1957","unstructured":"Nix JT, Albert M, Dugas JE et al. Chylothorax and chylous ascites. A study of 302 selected cases. Am J Gastroenterol 1957; 28: 40-55.","journal-title":"Am J Gastroenterol"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1016\/0002-9610(78)90118-6","article-title":"Ascites and portasystemic shunts","volume":"135","author":"Warren, W.D.","year":"1978","unstructured":"Warren WD. Ascites and portasystemic shunts. (Editorial.) Am J Surg 1978; 135: 607.","journal-title":"(Editorial.) Am J Surg"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1001\/archinte.1970.00310060151022","article-title":"Chylous ascites. Newer insights and many remaining enigmas","volume":"125","author":"Lesser, G.T.; Bruno, M.S.; Enselberg, K.","year":"1970","unstructured":"Lesser GT, Bruno MS, Enselberg K. Chylous ascites. Newer insights and many remaining enigmas. Arch Intern Med 1970; 125: 1073-7.","journal-title":"Arch Intern Med"},{"key":"ref_24","first-page":"4048","article-title":"Irreducible congenital ascites. Therapy by peritoneovenous shunt","volume":"7","author":"Portier, F.","year":"1978","unstructured":"Portier F. Irreducible congenital ascites. Therapy by peritoneovenous shunt. Nouv Presse Med 1978; 7: 4048.","journal-title":"Nouv Presse Med"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1001\/archsurg.1942.01220050058004","volume":"45","author":"Whitcomb, B.; Scoville, W.","year":"1942","unstructured":"Whitcomb B, Scoville W. Postoperative chylothorax. Arch Surg 1942; 45: 747-52.","journal-title":"Postoperative chylothorax. Arch Surg"}],"container-title":["Gut"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/gut.23.7.633","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,7]],"date-time":"2025-09-07T20:15:46Z","timestamp":1757276146000},"score":1,"resource":{"primary":{"URL":"https:\/\/gut.bmj.com\/lookup\/doi\/10.1136\/gut.23.7.633"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1982,7]]},"references-count":25,"journal-issue":{"issue":"7","published-online":{"date-parts":[[1982,7,1]]},"published-print":{"date-parts":[[1982,7]]}},"alternative-id":["10.1136\/gut.23.7.633"],"URL":"https:\/\/doi.org\/10.1136\/gut.23.7.633","relation":{},"ISSN":["0017-5749","1468-3288"],"issn-type":[{"type":"print","value":"0017-5749"},{"type":"electronic","value":"1468-3288"}],"subject":[],"published":{"date-parts":[[1982,7]]}}}